The World’s Okayest Medic Podcast Saturday Coffee Talk (1/17/26)
6 snips
Jan 16, 2026 Casual catchup and gear talk including boots and pants. A free critical care conference in Letts, Indiana is announced. Deep dive into EKG debates with focus on practical priorities for medics. Discussion of ondansetron, when ALS is warranted, and using inhaled isopropyl alcohol for nausea. A warning about protocol stagnation and the need for continuous QA and improvement.
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Test New Gear Before Busy Shifts
- Try new gear based on peer recommendations but test fit and break-in before shifts.
- Mike shares ordering Redback boots and alternative EMS pants after community input.
Small Invite Became A Conference
- Mike recounts being invited to Letts, Indiana which evolved from a station visit into a half-day conference.
- He describes AI-generated flyers and the event plans for February 20th at LettsFire.org.
EKG Interpretation Is Often Subjective
- Mike shows that EKG interpretation varies widely between clinicians even on the same tracing.
- He argues recognizing basic injury and ischemia (ST changes, depressions, T inversions) covers most paramedic needs.
